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Case Reports in Medicine
Volume 2013, Article ID 913218, 4 pages
http://dx.doi.org/10.1155/2013/913218
Case Report

Spinal Cord Compression Revealing an Intraosseous Schwannoma

1Department of Internal Medicine Military Hospital, Montfleury, 1008 Tunis, Tunisia
2Department of Neurosurgery Military Hospital, Montfleury, 1008 Tunis, Tunisia
3Department of Anatomopathology Military Hospital, Montfleury, 1008 Tunis, Tunisia

Received 9 March 2013; Revised 2 October 2013; Accepted 3 October 2013

Academic Editor: Jeffrey C. Wang

Copyright © 2013 Leila Metoui et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 68-year-old female presented with inflammatory lumbalgia and cruralgia. Physical examination revealed a lumbar stiffness without neurological deficit. Secondarily, paraplegia and urinary retention appeared. Magnetic resonance imaging showed a vertebral compaction of L3 vertebra with medullar compression. Emergent surgery revealed an epidural tumor involving largely the L3 vertebral body. Histology found schwannoma with positive protein S100 on the immunohistochemical study. Metastasis screening revealed bilateral nodular lesions of the lungs and a trochanter high scintigraphic signal. It was a malignant schwannoma. The patient underwent radiotherapy in addition to the total tumor resection.